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Anesthesiology (all articles)

Guideline | Management of severe peri-operative bleeding

8 Mar, 2023 | 14:18h | UTC

Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care – European Journal of Anaesthesiology

 


M-A | Real-time ultrasound guidance as compared to landmark technique for subclavian central venous cannulation

8 Mar, 2023 | 14:04h | UTC

Real-Time Ultrasound Guidance as Compared to Landmark Technique for Subclavian Central Venous Cannulation: A Systematic Review and Meta-Analysis With Trial Sequential Analysis – Critical Care Medicine (link to abstract – $ for full-text)

 


Review | Practical guide for anticoagulant and antiplatelet reversal in clinical practice

3 Mar, 2023 | 13:42h | UTC

Practical Guide for Anticoagulant and Antiplatelet Reversal in Clinical Practice – Pharmacy

 


The European guideline on management of major bleeding and coagulopathy following trauma

2 Mar, 2023 | 13:04h | UTC

The European guideline on management of major bleeding and coagulopathy following trauma: sixth edition – Critical Care

 


RCT | Addition of preoperative transversus abdominis plane block to multimodal analgesia in open gynecological surgery

2 Mar, 2023 | 12:43h | UTC

Addition of preoperative transversus abdominis plane block to multimodal analgesia in open gynecological surgery: a randomized controlled trial – BMC Anesthesiology

 


RCT | Application of opioid-free general anesthesia for gynecological laparoscopic surgery under ERAS protocol

2 Mar, 2023 | 12:42h | UTC

Application of opioid-free general anesthesia for gynecological laparoscopic surgery under ERAS protocol: a non-inferiority randomized controlled trial – BMC Anesthesiology

 


M-A | Application of enhanced recovery after surgery in partial nephrectomy for renal tumors

28 Feb, 2023 | 13:46h | UTC

Application of enhanced recovery after surgery in partial nephrectomy for renal tumors: A systematic review and meta-analysis – Frontiers in Oncology

Related:

Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines

Top 100 Most-Cited Articles on Enhanced Recovery After Surgery: A Bibliometric Analysis and Visualized Study – Frontiers in Surgery

 


SR | Tranexamic acid for the reduction of bleeding during functional endoscopic sinus surgery

24 Feb, 2023 | 13:39h | UTC

Tranexamic acid for the reduction of bleeding during functional endoscopic sinus surgery – Cochrane Library

 


Regional anesthesia for thoracic surgery: a narrative review of indications and clinical considerations

23 Feb, 2023 | 13:11h | UTC

Regional anesthesia for thoracic surgery: a narrative review of indications and clinical considerations – Journal of Thoracic Disease

Related: Regional anesthesia and acute perioperative pain management in thoracic surgery: a narrative review – Journal of Thoracic Disease

 


M-A | Drugs to reduce bleeding in major open vascular or endovascular surgery – not enough evidence to guide treatment

21 Feb, 2023 | 11:44h | UTC

Summary: The article is a systematic review and network meta-analysis of randomized controlled trials (RCTs) on the effectiveness and safety of anti-fibrinolytic and hemostatic drugs and agents to reduce bleeding and the need for blood transfusion in people undergoing major vascular surgery or endovascular procedures. The authors searched multiple databases and trial registries and included 22 RCTs with 3,393 participants analyzed. Due to a lack of data, the authors are uncertain whether any systemic or topical treatments may improve outcomes, emphasizing that larger trials with clinically relevant outcomes are needed.

Article: Drugs to reduce bleeding and transfusion in major open vascular or endovascular surgery: a systematic review and network meta‐analysis – Cochrane Library

 


Review | How to manage coagulopathies in critically ill patients

21 Feb, 2023 | 11:43h | UTC

How to manage coagulopathies in critically ill patients – Intensive Care Medicine

Related: Approach to the Coagulopathic Patient in the Intensive Care Unit – Indian Journal of Critical Care Medicine

 

Commentary on Twitter

 


AHA Scientific Statement | Anesthetic care of the pregnant patient with cardiovascular disease

20 Feb, 2023 | 12:29h | UTC

Summary: The AHA emphasizes the need for specialized cardio-obstetric anesthesiology care for pregnant patients with cardiovascular disease, involving a multidisciplinary team of obstetricians, cardiologists, anesthesiologists, and other specialists as needed. The approach includes preoperative evaluation, intraoperative management, and postoperative care to maintain maternal hemodynamic stability, optimize oxygen delivery to the fetus, and avoid factors that exacerbate cardiovascular disease. Vaginal delivery with effective neuraxial analgesia is the preferred mode of delivery, with cesarean delivery used for obstetrical indications or high-risk patients. Specific recommendations are also provided for the management of patients with different types of cardiovascular disease, including congenital heart disease, valvular heart disease, pulmonary hypertension, and hypertrophic cardiomyopathy.

Article: Anesthetic Care of the Pregnant Patient With Cardiovascular Disease: A Scientific Statement From the American Heart Association – Circulation

Top Things to Know: Statement on the anesthetic care of the pregnant patient with cardiovascular disease – American Heart Association

 


M-A | General Anesthesia vs. to Non-GA in endovascular thrombectomy for ischemic stroke

20 Feb, 2023 | 12:20h | UTC

Summary: The study analyzed randomized controlled trials comparing the use of general anesthesia (GA) versus non-GA techniques, such as conscious sedation or local anesthesia for endovascular thrombectomy (EVT) in patients with ischemic stroke. The meta-analysis included seven trials with a total of 980 participants, showing that GA is associated with a 9% improvement in recanalization rates and an 8.4% improvement in functional recovery compared to non-GA techniques. There was no difference in hemorrhagic complications or 3-month mortality. The study recommends that GA be the first choice for most EVT procedures in acute ischemic stroke.

Article: General Anesthesia Compared to Non-GA in Endovascular Thrombectomy for Ischemic Stroke: A Systematic Review and Meta-analysis of Randomized Controlled Trials – Neurology (link to abstract – $ for full-text)

 


Review | Integrating geriatric assessment and prehabilitation into surgical practice can improve outcomes for GI cancer patients with frailty

17 Feb, 2023 | 12:37h | UTC

Frailty and surgical outcomes in gastrointestinal cancer: Integration of geriatric assessment and prehabilitation into surgical practice for vulnerable patients – Annals of Gastroenterological Surgery

 


RCT | Intraoperative intravenous infusion of esmketamine in patients undergoing thoracic surgery

16 Feb, 2023 | 14:56h | UTC

Intraoperative Intravenous Infusion of Esmketamine Has Opioid-Sparing Effect and Improves the Quality of Recovery in Patients Undergoing Thoracic Surgery: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial – Pain Physician (PDF)

 


Review | Preoperative frailty screening, assessment and management

16 Feb, 2023 | 14:37h | UTC

Preoperative frailty screening, assessment and management – Current Opinion in Anaesthesiology

 


Review | Postoperative atrial fibrillation: from mechanisms to treatment

15 Feb, 2023 | 15:54h | UTC

Postoperative atrial fibrillation: from mechanisms to treatment – European Journal of Cardiology

 

Commentary on Twitter

 


Brief Review | Double sequential external defibrillation for refractory ventricular fibrillation

13 Feb, 2023 | 12:35h | UTC

Double sequential external defibrillation for refractory ventricular fibrillation – Intensive Care Medicine

Related: RCT | New defibrillation strategies increased the rates of survival to hospital discharge in patients with refractory ventricular fibrillation.

 

Commentary on Twitter

 


SR | Spin and fragility in randomized controlled trials in the anesthesia literature

13 Feb, 2023 | 12:33h | UTC

Spin and fragility in randomised controlled trials in the anaesthesia literature: a systematic review – British Journal of Anaesthesiology (free for a limited period)

 


Review | Advanced point-of-care bedside monitoring for acute respiratory failure

13 Feb, 2023 | 12:32h | UTC

Advanced Point-of-care Bedside Monitoring for Acute Respiratory Failure – Anesthesiology

 

Commentary on Twitter

 


Consensus Statement | Development of an Enhanced Recovery After Surgery (ERAS) surgical safety checklist

10 Feb, 2023 | 14:03h | UTC

Development of an Enhanced Recovery After Surgery Surgical Safety Checklist Through a Modified Delphi Process – JAMA Network Open

 

Commentary from the author on Twitter (thread – click for more)

 


SR | Cognitive aids in the management of clinical emergencies

10 Feb, 2023 | 13:44h | UTC

Cognitive aids in the management of clinical emergencies: a systematic review – Anaesthesia

 


Review | Postoperative systemic inflammatory dysregulation and corticosteroids

10 Feb, 2023 | 13:44h | UTC

Postoperative systemic inflammatory dysregulation and corticosteroids: a narrative review – Anaesthesia

 


M-A | Needle-free pharmacological sedation techniques in pediatric patients for imaging procedures

8 Feb, 2023 | 12:26h | UTC

Needle-free pharmacological sedation techniques in paediatric patients for imaging procedures: a systematic review and meta-analysis – British Journal of Anaesthesia

 


M-A | Intranasal midazolam vs. intranasal ketamine as sedative premedication in pediatric patients

8 Feb, 2023 | 12:24h | UTC

Efficacy and safety of intranasal midazolam versus intranasal ketamine as sedative premedication in pediatric patients: a meta-analysis of randomized controlled trials – BMC Anesthesiology

 


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